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目的分析儿童肺炎支原体(mycoplasma,mp)肺炎的临床特点,提高对其的诊断和治疗水平。方法回顾性分析1230例儿童肺炎支原体肺炎的临床诊疗过程。结果 1230例均有不同程度的咳嗽;791例(64.30%)伴有不同程度的发热;132例(10.73%)伴有气喘;307例(24.95%)于诊治过程中可及哮鸣音。胸部X摄片:132例(10.73%)表现为间质性肺炎;615例(50%)表现为支气管肺炎;483例(39.26%)表现为大叶性肺炎,其中44例合并肺不张,43例合并胸腔积液。结论肺炎支原体(mp)感染引起的肺炎临床阳性体征缺乏特异性,但全身中毒症状,胸部X片表现较重,且近年来肺炎支原体感染在儿童人群中的低龄发病率有上升趋势。
Objective To analyze the clinical features of children with mycoplasma pneumonia and to improve its diagnosis and treatment. Methods The clinical diagnosis and treatment of 1230 children with Mycoplasma pneumoniae pneumonia were retrospectively analyzed. Results All 1230 patients had different degrees of cough, 791 patients (64.30%) had different degrees of fever, 132 (10.73%) had asthma and 307 patients (24.95%) had wheeze during the diagnosis and treatment. Chest X-ray: 132 cases (10.73%) showed interstitial pneumonia; 615 cases (50%) showed bronchopneumonia; 483 cases (39.26%) showed lobar pneumonia, of which 44 cases with atelectasis, 43 cases with pleural effusion. Conclusions The clinical manifestations of pneumonia caused by mycoplasma pneumoniae infection are not specific. However, the symptoms of systemic poisoning and chest radiograph are severe. In recent years, the incidence of mycoplasma pneumoniae infection in young children has been increasing.